How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $245.47 Median $263.03 Typical High $269.15 | Facility | None | $245.47 | $263.03 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $338.84 | Professional | None | $239.88 | $269.15 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $234.42 Typical High $263.03 | Facility | None | $218.78 | $234.42 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $478.63 | Professional | None | $223.87 | $234.42 | $478.63 |
Blue Shield Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $398.11 | Professional | None | $194.98 | $275.42 | $398.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $346.74 | Professional | None | $218.78 | $281.84 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $446.68 | Professional | None | $257.04 | $295.12 | $446.68 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $338.84 | Professional | None | $229.09 | $263.03 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $501.19 | Professional | None | $218.78 | $281.84 | $501.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,584.89 | $2,238.72 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $363.08 | Professional | None | $218.78 | $218.78 | $363.08 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $489.78 | Facility | None | $245.47 | $363.08 | $489.78 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $478.63 | Professional | None | $257.04 | $288.40 | $478.63 |
Sutter Health Plus Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | None | $831.76 | $831.76 | $851.14 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $524.81 | Professional | None | $204.17 | $263.03 | $524.81 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $131.83 Typical High $134.90 | Facility | 52 · Reduced service | $123.03 | $131.83 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $54.95 | Facility | 53 · Discontinued | $48.98 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $48.98 | $50.12 | $57.54 |
Where California sits
The same service costs 2.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 36th of 51
$275
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.